HomeMy WebLinkAbout05-03-11BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 ~
HARRISBURG PA 17128-0601 ;
REV-1543 EX AFP (08-19?°
PENNSYLVANIA INHERITANCE; TAX
INFORMATION NOTICE
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F~~'i:~.W~ ~~~`i~dt~P~~ER RESPONSE
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FILE N0. 21 `"'I/- (~~~~
ACN 11129676
DATE 05-02-2011
'~~~` ~~ "'3 ~I ~~ ~ EST. OF DONNA L MCBRIDE
SSN 172-32-0275
CLERK GF DATE OF DEATH 10-25-2010
QR~P}`~~N'S~C(O'~URT COUNTY CUMBERLAND
CUMREt?I_~>,~~.% ~~_I - ~~ REMIT PAYMENT AND FORMS T0:
STEPHEN J MCBRIDE REGISTER OF WILLS
945 S HUMER ST 1 COURTHOUSE SQUARE
ENOLA PA 17025 CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
SOVEREIGN BANK provided the Department with the information below, whiclh has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction from the financial insi;itution, attach a copy to this form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0921718195 Date 10 - 03-1990 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance
$
3
089
84 payment to the Register of Wills. Make check
,
. payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax ~` 1 , 544.92 months of the decedent's date of death,
Tax Rate ~( ~ lj deduct a E~ percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 231 .74 nine months after the date of death.
PART TAXPAYER RESPONSE
~ . ~~
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
DATE PAID
PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of y know dge and belief. H 0 M E C ~~~ ) •
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TAXPAYER S NATUR TELEPHONE NUMBER ATE
TOTAL (Enter on Line 5 of Tax Computation) S
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